PATIENT ACCOUNT REPRESENTATIVE-ASC
Join Our Dynamic Team in Atlanta, GA!
This position offers the opportunity to work in-office for the first days, after which it transitions to a remote role. This is a TEMP-TO-HIRE position, and candidates must reside in Georgia.
Orthopedic experience is required.
ASC - Insurance follow up for all carriers and workers comp. This will be a FLOAT AR position and will work on special projects and all books of business.
Summary
Responsible for a variety of medical office / clerical tasks relating to claims processing; contact patients and responsible parties to resolve past-due accounts;
investigates account status and initiates collection procedures.
Essential Duties and Responsibilities
- Timely and appropriate resolution of all assigned accounts for third party payors and / or patients with the purpose of managing account receivables balances.
- Identify and communicate AR trends, denial issues or irregularity impacting resolution of AR or daily production workflow to supervisor and other team members and recommend resolution.
- Responsible for accurate and timely charge capture for clinic and hospital based services.
- Maintains up-to-date knowledge of third-party billing and reimbursement, clinic's financial policies and industry knowledge.
- Prepares and submits daily productive reports as required.
- Completes annual compliance and regulatory requirements as applicable.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.
Duties, responsibilities and activities may change at any time with or without notice.
Competencies
- Analytical - Synthesizes complex or diverse information; collects and researches data; uses intuition and experience to complement data.
- Continuous Learning - Seeks feedback to improve performance; pursues training and development opportunities; shares expertise with others.
- Job Knowledge - Competent in required job skills and knowledge; exhibits ability to learn and apply new skills; keeps abreast of current developments;
requires minimal supervision; displays understanding of how job relates to others; uses resources effectively.
Use of Technology - Demonstrates required skills; adapts to new technologies; troubleshoots technological problems; uses technology to increase productivity;
keeps technical skills up to date.
Problem Solving - Identifies and resolves problems in a timely manner; gathers and analyzes information skillfully; develops alternative solutions;
works well in group problem solving situations; uses reason even when dealing with emotional topics.
Customer Service - Manages difficult or emotional customer situations; responds promptly to customer needs; solicits customer feedback to improve service;
responds to requests for service and assistance; meets commitments.
Communications - Expresses ideas and thoughts verbally; expresses ideas and thoughts in written form; exhibits good listening and comprehension;
keeps others adequately informed; selects and uses appropriate communication methods.
Teamwork - Balances team and individual responsibilities; exhibits objectivity and openness to others' views; gives and welcomes feedback;
contributes to building a positive team spirit; puts success of team above own interests.
- Written Communication - Writes clearly and informatively.
- Conflict Resolution - Encourages open communications; maintains objectivity.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and / or Experience
High school diploma or general education degree (GED). Minimum years of medical billing and account follow up experience.
Knowledge of ICD-, CPT, HCPCS and the use of modifiers preferred. Familiar with CMS / UB claim form completion, knowledge of Medicare, Managed care and commercial insurance products and plans.
Knowledge of physician billing and / or collections. Typing speed wpm and the ability to use a calculator.